Individual provider Active NPI

Cara Kendrick, DNP, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Mount Pleasant, SC
National Provider Identifier
1245966514
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26334 Issued in SC
Practice address
1952 Long Grove Dr Ste 202
Mount Pleasant, SC 29464-7579
Phone
(843) 971-2992
NPI assigned
Jul 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26334 SC Primary

Addresses

Primary practice location

1952 Long Grove Dr Ste 202
Mount Pleasant, SC 29464-7579

Mailing address

4975 Lacross Rd Ste 150
North Charleston, SC 29406-6531
Phone (843) 696-3923

Other practice location 1

776 Daniel Ellis Dr Ste A
Charleston, SC 29412-3094
Phone (843) 795-8100

Other practice location 2

2015 2nd Ave Ste 101
Summerville, SC 29486-7889
Phone (843) 737-9465

Other practice location 3

2067 Charlie Hall Blvd
Charleston, SC 29414-5834
Phone (843) 573-2535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318001040 SC Practitioner - Nurse Practitioner 4789106923 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Care, Inc CurrentSince Mar 1, 2025 Accepting new patients
Carolina Family Care, Inc CurrentSince Mar 1, 2025 Accepting new patients
Coastal Pediatric Associates, P.a. CurrentSince Apr 1, 2021 Accepting new patients
Carolina Family Care, Inc Past Accepting new patients

Locations

2067 Charlie Hall Blvd
Charleston, SC 29414
Phone 8435732535 ext. 3215

776 Daniel Ellis Dr
Ste A
Charleston, SC 29412
Phone (843) 795-8100

2051 Charlie Hall Blvd
Charleston, SC 29414
Phone (843) 573-2535

1208 Two Island Ct
Mt Pleasant, SC 29466
Phone (843) 884-6653

1952 Long Grove Dr
Ste 202
Mt Pleasant, SC 29464
Phone (843) 573-2535

4975 Lacross Rd
Ste 150
North Charleston, SC 29406
Phone (843) 573-2535

2015 2nd Ave
Ste 101
Summerville, SC 29486
Phone (843) 573-2535

Interoperability endpoints

  • Direct secure messaging: ckendrick414537@direct.musc.edu
  • Direct secure messaging: cara.kendrick.1@1152.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1245966514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 LACROSS RD STE 150",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066531",
            "telephone_number": "843-696-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 LONG GROVE DR STE 202",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647579",
            "telephone_number": "843-971-2992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "776 Daniel Ellis Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294123094",
            "country_code": "US",
            "telephone_number": "843-795-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 2nd Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294867889",
            "country_code": "US",
            "telephone_number": "843-737-9465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2067 Charlie Hall Blvd",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145834",
            "country_code": "US",
            "telephone_number": "843-573-2535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "CARA",
        "credential": "DNP, APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "26334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.